Case Study

Read the following case study:

A small community hospital in the Midwest has used a homegrown information system for years. The system began in the early 1970s with a financial module. Over time, additional modules were added. A limited number of departments selected a commercial system and interfaces were used to integrate these into the overall functionality of the hospital information system. Except for physicians, most in-house clinical or care-related documentation is online. However, about 15% to 20% of this documentation is done by free text and is not effectively searchable. In addition, the screens, including the drop-down and default values, were built using terms selected by the in-house development team in consultation with clinical staff; thus there is no data dictionary or specific standard language. In the last few years, the hospital has purchased two outpatient clinics (obstetrics and mental health) and a number of local doctor practices. The clinics and doctors’ offices are now being converted to the hospital administrative systems. A few of the clinical applications that are tied directly to the administrative systems such as order entry and results reporting are also being installed.

A major change is being planned. A new chief information officer (CIO) was hired last year and she has appointed a chief medical information officer (CMIO) and a chief nursing information officer (CNIO). No other significant staff changes were made. With her team in place, one of the CIO’s first activities was to complete an inventory of all applications. Rather than continue to build, a decision was made to switch to a commercial vendor and the hospital selected a commercial system.

As a member of the clinical staff with informatics education, the CIO has requested that you develop a training and information presentation for the clinical staff that will:

1· Identify two or more issues with the existing system

2· Provide staff with appropriate “work-around” for using the existing system

3· Provide an overview of two of the standard languages used within the new system including discipline or specialty, updating frequency, and available cross-maps

– One standard language should pertain only to nursing

– One standard language should be multidisciplinary.

4· Obtain clinical staff input, using a five-question survey, of specific methods to support transition to the new system; questions should be open-ended.

PowerPoint Presentation

Directions:

1. Review the case study.

2. Download the provided PowerPoint template to create a presentation that includes:

· Your name on the title slide of the presentation

· Identification of two or more issues with existing system

· Identification of “work-a-round” solutions when using existing system

· Overview of standard language used only in nursing

· Overview of multidisciplinary standard language

· Set of five (5) open-ended survey questions for staff input on transitioning to the new system

Presentation is free of spelling and grammar errors.

Group Project

Group members need to assume AP roles (clinical and non-clinical) either by volunteering or being assigned by the group leader. A group leader must be decided and may be a nurse manager/nurse administrator, CNS, NP (maybe more than one and from different specialties), NI, and NE. CNLs and RNs may be also be part of the group scenario. (there are 4 group members)

All members are expected to demonstrate leadership knowledge and skills, but also must be willing to follow. Each group will demonstrate the core competencies and principals of transformational leadership in the group work. (See rubric). The final evidence of the group work will be power point presentation that discusses the scenario addressing the assigned domain, the roles and the outcomes.

The master’s prepared nurse demonstrates leadership in the four domains: the profession of nursing, clinical practice arena, health policy arena, and systems level. The impact could be found in health promotion, disease prevention/management, quality improvement and/or within management of a health system.

In conclusive remarks, search and agree upon a quotation from a library article related to leadership in an advanced nursing role and include with how it applied to your clinical decision/management issue of your assigned domain. Leadership journals from SOU Library are The Journal of Nursing Scholarship or Nursing Leadership Forum or the American Journal of Nursing, Journal of Nursing Administration, Nursing Administration Quarterly, Nursing Management or Health Care Management Review

Library quotation:

“transformational leaders who set clear expectations, praise employees for good performance, are fair, and are concerned about employees may play a part in bringing about feelings of attachment to one’s work and psychological safety”

Reference:

Monje Amor, A., Abeal Vázquez, J. P., & Faíña, J. A. (2019). Transformational leadership and work engagement: Exploring the mediating role of structural empowerment. European Management Journal. https://doi-org.southuniversity.libproxy.edmc.edu/10.1016/j.emj.2019.06.007

CASE SCENARIO:

Disease Prevention: Obesity in school age children is a significant problem. Melissa, a former elementary school teacher, is a new CNL who has recently joined her state nursing association and is passionate about the 30% or more of the students being over-weight. The local nursing association is looking for a community project to address disease prevention. Melissa has approached the officers with her concern. What AP roles, core competencies and support are needed to make this happen?

The Course Outcome covered this week is CO2.

CO2: Communicate effectively with culturally diverse individuals, families, and organizations. (PO3)

Discussion

As nurses, we work with providers and healthcare team members whose native language is not English. In fact, some of you may have interviewed a non-native English speaker for your Course Project. This diversity may lead to challenges with communication and the nurse being “caught in the middle.”

• Reflect on your newfound knowledge of transcultural nursing.
• Share an example of miscommunication that occurred as a result of this diversity and whether an adverse outcome resulted.
• Describe how the miscommunication could have been and will be prevented in the future.

Grading

Select two clients you observed or counseled this week during a family therapy session and  then, address in your Practicum Journal the following;

 

Describe (without violating HIPAA regulations) each client, and identify any pertinent history or medical information, including prescribed medications.

Using the Diagnostic and Statistical Manual of Mental Health Disorders, Fifth Edition (DSM-5), explain and justify your diagnosis for each client.

Explain any legal and/or ethical implications related to counseling each client. Support your approach with evidence-based literature.

The Pacific Healthcare Case Analysis

Procurement Evaluation

Procurement Solutions

Conclusion

Questionnaire

1. What alternatives should Barney Rubble consider when addressing the problem?

2. Should Pacific’s supply policies allow for any medical staff personnel to control sourcing decisions?

3. What are the advantages and disadvantages of staying with Kodak—or changing suppliers? How would you evaluate these?

4. What action could Mr. Rubble have taken prior to Mr. Howell’s death to obtain reduced film prices?